NPIMap

Organization Active NPI

Auburn Pharmacy Inc

Doing business as Hometown Pharmacy #267

  • Community/Retail Pharmacy
  • Mount Vernon, MO
National Provider Identifier
1104900364
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AUBURN PHARMACY INC
Doing business as
Hometown Pharmacy #267
Practice address
606 E Mount Vernon Blvd
Mount Vernon, MO 65712-9100
Phone
(417) 466-2000
Fax
(417) 466-2028
NPI assigned
Oct 24, 2006
Reactivated
Apr 6, 2007
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael W Burns, RPH
Title
Owner/Ceo
Phone
(785) 448-3600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

606 E Mount Vernon Blvd
Mount Vernon, MO 65712-9100

Mailing address

259 W Park Rd
Garnett, KS 66032-1080
Phone (785) 448-3600

Other names 1

  • Hometown Pharmacy #267 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180219002289 MO Part B Supplier - Mass Immunization (Roster Biller Only) 1355377276 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Independence, MO; Smithville, MO; Rich Hill, MO; Parkville, MO; Nevada, MO; Mount Vernon, MO; Lamar, MO; Holden, MO…
O20240916001499 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1355377276 Practice locations: Mount Vernon, MO

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2307781Hometown Pharmacy #267606 East Mount Vernon Blvd, Mount Vernon, MO 65712Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Auburn Pharmacy Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

310 E 15th St
Eudora, KS 66025
Phone (785) 690-7575

429 N Maple St
Garnett, KS 66032
Phone (785) 448-6122

216 N Harrison St
Lindsborg, KS 67456
Phone (785) 227-3374

20375 W 151st St
Ste 100A
Olathe, KS 66061
Phone (913) 393-4440

401 W Frontier Ln
Ste 300
Olathe, KS 66061
Phone (913) 294-9125

311 N Hospital Dr
Paola, KS 66071
Phone (913) 294-3516

2701 Main St
Parsons, KS 67357
Phone (620) 421-0882

1012 Poplar St
Ste A
Wellsville, KS 66092
Phone (785) 883-2462

5318 W Central Ave
Wichita, KS 67212
Phone (316) 252-8600

125 S Washington St
Ste 200
Nevada, MO 64772
Phone (417) 667-2500

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa MariaMulvane, KS, CCN 175456 Skilled nursing facility Adp of the SNF Jul 1, 2025

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1104900364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 W PARK RD",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660321080",
            "telephone_number": "785-448-3600",
            "fax_number": "785-448-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E MOUNT VERNON BLVD",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657129100",
            "telephone_number": "417-466-2000",
            "fax_number": "417-466-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "deactivation_date": "2007-01-09",
        "reactivation_date": "2007-04-06",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "785-448-3600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy #267",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, MO

Sources for this page

Verify at the official NPI Registry.